Wojnar J, Bruder J
Pflegen & Wohnen Landesbetrieb Arztl. Abteilung, Hamburg.
Z Gerontol Geriatr. 1995 Sep-Oct;28(5):369-73.
This paper points to different physiological diseases which are associated with extreme pain. Extreme and chronic pain can be related to a higher risk of suicide. Special patterns of pain are characterized psychologically. Furthermore, the relationship between pain and depression is discussed. The necessity for psychosomatic concepts in diagnosis and treatment of pain is shown. Special forms of experiencing pain in patients who suffer from dementia are described. These patients appear to have difficulties in perceiving and describing (clinical) pain.
本文指出了与剧痛相关的不同生理疾病。剧痛和慢性疼痛可能与更高的自杀风险有关。疼痛的特殊模式具有心理特征。此外,还讨论了疼痛与抑郁之间的关系。说明了在疼痛诊断和治疗中采用身心医学概念的必要性。描述了痴呆症患者经历疼痛的特殊形式。这些患者在感知和描述(临床)疼痛方面似乎存在困难。